Global Bioethics最新文献

Navigating ethical challenges in digital transformation: insights on climate adaptation, microbiology, healthcare, robotics, and AI under the EU AI act: an experts panel discussion. 应对数字化转型中的伦理挑战：欧盟人工智能法案下对气候适应、微生物学、医疗保健、机器人和人工智能的见解：专家小组讨论。

Global Bioethics Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2550823

Saeed M Alghamdi, Okpala Charles Chikwendu, Okafor Ugochukwu Chukwuma, Daniel Otieno Okech, Modestus O Okwu, Samina Khalid, Aggeliki Vlachostergiou

{"title":"Navigating ethical challenges in digital transformation: insights on climate adaptation, microbiology, healthcare, robotics, and AI under the EU AI act: an experts panel discussion.","authors":"Saeed M Alghamdi, Okpala Charles Chikwendu, Okafor Ugochukwu Chukwuma, Daniel Otieno Okech, Modestus O Okwu, Samina Khalid, Aggeliki Vlachostergiou","doi":"10.1080/11287462.2025.2550823","DOIUrl":"10.1080/11287462.2025.2550823","url":null,"abstract":"The ethical complexities of technological advancement are growing as fields such as climate adaptation, microbiology, healthcare, robotics, and artificial intelligence (AI) evolve rapidly. While these technologies offer innovative solutions to global challenges, they raise significant ethical concerns. In climate adaptation, AI-driven models and remote sensing technologies prompt questions about data privacy, environmental justice, and equitable access, especially for vulnerable populations. Similarly, advancements in microbiology and healthcare, such as genetic research and digital health tools, present ethical dilemmas related to informed consent, data security, and the exploitation of marginalized communities. In robotics and AI, ethical concerns are heightened due to their potential to automate decision-making, affect employment, and infringe on personal freedoms. The influence of AI in healthcare, law enforcement, and public services highlights the urgent need for ethical oversight to prevent bias and protect human rights. The EU AI Act addresses these challenges by categorizing AI systems by risk and setting stringent guidelines for high-risk applications, especially in sensitive sectors like healthcare. This article emphasizes the importance of balancing innovation with ethical responsibility, advocating for comprehensive regulatory frameworks, interdisciplinary collaboration, and global cooperation to ensure that technological advancements align with ethical standards and societal values.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2550823"},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How can the ethical conduct of verbal autopsies be enhanced? Lessons from Southeast Asia. 如何加强口头尸检的道德操守？东南亚的经验教训。

Global Bioethics Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2550810

Nan Shwe Nwe Htun, Bipin Adhikari, Aung Pyae Phyo, Carlo Perrone, Koukeo Phommasone, Nawrin Kabir, Moul Vanna, Yoel Lubell, Thomas J Peto

{"title":"How can the ethical conduct of verbal autopsies be enhanced? Lessons from Southeast Asia.","authors":"Nan Shwe Nwe Htun, Bipin Adhikari, Aung Pyae Phyo, Carlo Perrone, Koukeo Phommasone, Nawrin Kabir, Moul Vanna, Yoel Lubell, Thomas J Peto","doi":"10.1080/11287462.2025.2550810","DOIUrl":"10.1080/11287462.2025.2550810","url":null,"abstract":"Verbal autopsy research is vital for understanding community mortality, informing health interventions and policies in low- and middle-income countries. However, overlooking the community perspectives on deaths can undermine the ethical conduct and effectiveness of such research. This study explored community-based concepts of death, interpretations, and coping mechanisms in five Southeast Asian countries, with this manuscript highlighting key findings from the body mapping exercise that revealed diverse cultural and religious understandings on death. Participants' views ranged from seeing death as a cessation to life's struggles to an inevitable end, reflecting deep cultural and spiritual beliefs. Coping mechanisms, often grounded in religious practice and community support, played a crucial role in managing grief. The study also underscores the importance of addressing emotional well-being for both participants and researchers. Recommendations include integrating mental health support into research protocols and tailoring practices to local cultural contexts. These findings inform the design of more ethically grounded verbal autopsy tools and procedures that are sensitive to local beliefs and emotional dynamics, ultimately improving data quality and community trust.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2550810"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One Health in a globalized world: challenges and responses to zoonotic threats. 全球化世界中的同一个健康：人畜共患病威胁的挑战和应对。

Global Bioethics Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2550805

Gustavo Ortiz-Millán

{"title":"One Health in a globalized world: challenges and responses to zoonotic threats.","authors":"Gustavo Ortiz-Millán","doi":"10.1080/11287462.2025.2550805","DOIUrl":"10.1080/11287462.2025.2550805","url":null,"abstract":"This article explores the relationship between zoonotic outbreaks and the interconnected nature of globalization through the lens of the One Health framework. It argues that global ecological changes driven by climate changes, deforestation, intensified agriculture, wildlife trade, and urban expansion have significantly elevated the risk of zoonotic disease transmission. It emphasizes how globalization has intensified some of the factors that contribute to the emergence of zoonotic outbreaks, and has also facilitated the spread of infectious diseases. Drawing on recent examples, such as the emergence of H1N1, COVID-19 and Nipah virus outbreaks, the article emphasizes the need for robust, interdisciplinary collaboration among human, animal, and environmental health sectors. The article advocates for a comprehensive global strategy rooted in the One Health approach to mitigate future zoonotic threats. It argues that this approach is based on an ethical principle of solidarity, which refers to the enacted commitment to support others based on the recognition of shared vulnerabilities or similarities. This principle is essential for collective responses to global challenges like zoonotic diseases. The One Health approach requires reinvesting in multilateral governance, enhancing wildlife and livestock surveillance, and addressing socio-environmental drivers of disease emergence, thereby promoting planetary health and global biosecurity. However, it also highlights the vulnerabilities created by nationalistic and populist policies, based on a distrust of multilateral organizations and international cooperation, and that have underfunded global health institutions, particularly affecting low-resource regions where early detection systems are lacking.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2550805"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Informed consent in cervical cancer screening research in Butajira district, Ethiopia. 埃塞俄比亚Butajira地区宫颈癌筛查研究中的知情同意。

Global Bioethics Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2542593

Lidya Genene Abebe, Abigiya Wondimagegnehu, Laith A Labban, Brhanu Teka, Andreas M Kaufmann, Tamrat Abebe, Eva J Kantelhardt, Adamu Addissie, Muluken Gizaw

{"title":"Informed consent in cervical cancer screening research in Butajira district, Ethiopia.","authors":"Lidya Genene Abebe, Abigiya Wondimagegnehu, Laith A Labban, Brhanu Teka, Andreas M Kaufmann, Tamrat Abebe, Eva J Kantelhardt, Adamu Addissie, Muluken Gizaw","doi":"10.1080/11287462.2025.2542593","DOIUrl":"10.1080/11287462.2025.2542593","url":null,"abstract":"Cervical cancer screening remains limited in developing countries due to barriers such as lack of convenience and privacy. These challenges hinder both screening uptake and the process of obtaining informed consent. This study aimed to explore ways to address these barriers and support ethical participation in screening research. The study was conducted in three rural and one urban kebele in Butajira, Southern Ethiopia. A total of 58 participants - including community elders, religious leaders, women's representatives, and traditional association leaders - were selected through purposive sampling for focus group discussions and in-depth interviews. Two interview guides were used to explore consent, decision-making, and screening preferences. Data were analysed using qualitative content analysis via QCAmap software. Participants generally understood the concept of voluntary participation but emphasized the need for clear communication about benefits. Although women could decide independently, many noted the importance of involving husbands. Initial suspicion about written consent was addressed through trust-building. A strong preference emerged for female providers during consent and procedures to enhance comfort. Self-sampling raised concerns about technical difficulty and cultural norms. Addressing cultural and ethical concerns is vital for improving cervical cancer screening participation. Insights from this study should guide future research and interventions in similar settings.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2542593"},"PeriodicalIF":0.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One health's "Jurassic Park moment": tempered reasons for optimism. 一个健康的“侏罗纪公园时刻”：温和的乐观理由。

Global Bioethics Pub Date : 2025-08-05 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2543098

Jonathan Beever, Nicolae Morar

引用次数: 0

Losing persons: the pastoral imperative for affirming continued personhood for those living with dementia. 失丧的人：确认失智症患者持续人格的牧灵必要性。

Global Bioethics Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2532920

Stephen R Milford

{"title":"Losing persons: the pastoral imperative for affirming continued personhood for those living with dementia.","authors":"Stephen R Milford","doi":"10.1080/11287462.2025.2532920","DOIUrl":"10.1080/11287462.2025.2532920","url":null,"abstract":"Dementia is responsible for untold suffering, most significant is the fear that someone will lose themselves. This fear raises very serious pastoral questions: Who is the person living with dementia? Are they the same person they have always been or someone new? In either case, how do we treat them? Using the well-known case of Margo and the discussions between Dworkin and Dresser around advanced care directives, this article radically challenges the standard psychology view of personhood as being pastorally unhelpful in dementia cases. We argue that a relational view of personhood is not only epistemologically consistent but better suited to the pastoral challenge presented by dementia than that of the standard psychological view. While dementia represents the loss of cognitive abilities, and in many cases an entire change in personality, it does not represent either the loss of a person nor a change of personhood. Through dementia a person remains a person because they are personally related to by the same community of persons who have always loved them. This normative framework offers those living with dementia, their community, and their carers with a coherent, yet pastorally helpful response to the existential questions raised by dementia.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2532920"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Free to err? Conceptualising personal autonomy in the postpandemic welfare state. 自由犯错？大流行后福利国家中个人自主性的概念化。

Global Bioethics Pub Date : 2025-06-18 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2518800

Marc Sørensen, Ezio Di Nucci, Karsten Juhl Jørgensen, Gorm Greisen

{"title":"Free to err? Conceptualising personal autonomy in the postpandemic welfare state.","authors":"Marc Sørensen, Ezio Di Nucci, Karsten Juhl Jørgensen, Gorm Greisen","doi":"10.1080/11287462.2025.2518800","DOIUrl":"10.1080/11287462.2025.2518800","url":null,"abstract":"In the public healthcare system, personal autonomy has rightly become a key element of health politics. Nevertheless, conflicts can arise when the interests of a caring welfare state collide with the decisions of those in its care. In such cases, the concept of autonomy as a fundamental ethical principle can cause harm, if solely interpreted as freedom from interference by the public sector, devoid of demands on personal responsibility. Based on the example of vaccine hesitancy during COVID-19, we propose that resolving these conflicts should integrate two divergent basic tenets of autonomy, as developed over time, and recently applied disjunctively to the pandemic by ethicists, so that the principle can be consistently operationalised as a function of an open but also binding argument within society. This may have implications far beyond SARS-CoV-2. We touch on philosophical grounds where the assertion of axiomatic moral rights is replaced by an epistemological framing of the deliberation process as a ubiquitous and not merely representative argumentative act, while validity claims are individually redeemed in a dialogical balancing of reasons and objections. Recognising this as the humanistic core of healthcare calls for an expansion of the state's communicative obligations but also implies proportionate paternalism.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2518800"},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A one health economy. 一个健康的经济。

Global Bioethics Pub Date : 2025-06-03 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2511516

Benjamin Capps

引用次数: 0

One Health Economics 2.0 - commentary. 一个卫生经济学2.0 -评论。

Global Bioethics Pub Date : 2025-05-28 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2511517

Zohar Lederman

引用次数: 0

What vaccine inequity has taught us: a way forward through the lens of ideal and non-ideal theory. 疫苗不平等给我们的启示：从理想和非理想理论的角度看前进的道路。

Global Bioethics Pub Date : 2025-05-07 eCollection Date: 2025-01-01 DOI: 10.1080/11287462.2025.2497602

Florencia Luna, Felicitas Holzer

{"title":"What vaccine inequity has taught us: a way forward through the lens of ideal and non-ideal theory.","authors":"Florencia Luna, Felicitas Holzer","doi":"10.1080/11287462.2025.2497602","DOIUrl":"https://doi.org/10.1080/11287462.2025.2497602","url":null,"abstract":"The equitable distribution of vaccines has emerged as a major issue in pandemic treaty negotiations following the COVID-19 pandemic. Failures in global procurement and distribution have been attributed to ineffective allocation mechanisms and a general lack of cooperation. More than four years after the onset of the pandemic, this article presents a perspective on how to achieve a more equitable global allocation of medical supplies for future pandemics, drawing on the distinction between \"ideal\" and \"non-ideal\" schemes of cooperation. We will consider two perspectives: first, improving solutions under current, non-ideal circumstances where non-cooperation dominates in the short and medium term, given the challenges of an uncooperative international landscape; and second, implementing long-term policies that aim at ideal proposals, assuming an increased level of cooperation in the future. This evaluation will address the past successes and shortcomings of the COVAX facility, and also the negotiations on a pandemic treaty led by the World Health Organizations, to better address future pandemics. We will discuss key issues that ought to be of central concern when moving towards more cooperative solutions in the future.","PeriodicalId":36835,"journal":{"name":"Global Bioethics","volume":"36 1","pages":"2497602"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0